| NPI | 1912028531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO D BAS President 703-494-8174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101022428) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |