NPI | 1073614103 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER MICHAEL MILLER Administrator 302-674-4627 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: DE C10003264) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2019-01-30 |