NPI | 1639281298 |
---|---|
Entity Type | Organization |
Authorized Contact | GABRIEL JOHN SOMORI Medical Director 302-645-9180 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: DE C1-0006005) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-01-18 |