| NPI | 1629462171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN G PROSKY Administrator 703-407-7216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2023-06-05 |