| NPI | 1679100564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN R SUBACH Managing Member 703-795-4935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |