NPI | 1467507566 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDSAY BRATHWAITE Provider 302-677-1273 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: DE C10006521) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2020-08-22 |