| NPI | 1396990305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANESH R BALU President 302-312-3809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000706) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: DE C-10005467) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |