NPI | 1548301005 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY T LEMON Owner 302-629-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DE E1-0000121) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2011-04-26 |