| NPI | 1851560262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS A IVEY President 301-913-9207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DC MD5404) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0009282) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2015-11-18 |