| NPI | 1609074053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | P. TRENT RYAN Director 302-778-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NN0400X Chiropractor Neurology | |
| 208D00000X General Practice | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2018-01-02 |