NPI | 1649311325 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY PAUL MACKLER C.E.O. 302-629-2229 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C10004336) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2012-03-14 |