NPI | 1750495420 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSS MICHAEL UFBERG Medical Director 302-575-1776 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: DE c10002549) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2008-04-02 |