| NPI | 1063602647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIPOLITO P AGUILLON Physician 302-629-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C10002905) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |