| NPI | 1992038749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO Y VARGAS President 757-545-5073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2010-03-02 |