| NPI | 1114192077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HOWARD MARK Owner 302-933-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C10003541) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2013-04-09 |