NPI | 1124214044 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRSTEN ANDREA HAUER Physician 302-661-2303 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: DE C100003514) |
Additional Taxonomies | 174400000X Specialist (Licence: DE TP0003432) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2007-09-25 |