| NPI | 1831248509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYER M KATZ Owner 302-645-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X (Licence: DE C2-0007933) |
| Additional Taxonomies | 174400000X Specialist |
| 363L00000X Nurse Practitioner (Licence: DE LG-0000358) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2010-11-17 |