| 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 |