NPI | 1609958776 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL J BREINER President 540-989-6361 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101050226) |
Additional Taxonomies | 174400000X Specialist (Licence: VA 0101050226) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2011-04-11 |