| NPI | 1407029051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALDO DOMINGO Owner 302-731-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-17 |