| NPI | 1841550035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ALEXANDER FITZER Sole Proprietor 703-709-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101250534) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-23 |