| NPI | 1386751048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NEIL DUMIN Owner 302-593-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: DE C10000743) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: DE C10000743) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-12-26 |