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 |