| NPI | 1013432822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J SLEPIN Officer 469-401-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2018-03-17 |