| NPI | 1962843029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIE A. WALTERS Mpm Specialist 302-233-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME92581) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |