| NPI | 1124236948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BLAEVER Executive Director 302-731-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DE 562752) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-07-21 |