| NPI | 1588907075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B MAYES Credentialing Supervisor 302-283-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: DE C1-0009919) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |