| NPI | 1639375009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL R YACOUB Director 302-996-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: DE C1-0004626) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2023-09-05 |