| NPI | 1073567418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHRAVEN PAKANATI Practice Manager 302-661-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2014-03-25 |