| NPI | 1417903048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIE WALTERS Office Manager 302-422-5506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C100006175) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-06-27 |