| NPI | 1689917445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER G MEYER Owner 863-701-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: ME90559) |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2013-03-30 |