| NPI | 1174024293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE KING Md 414-447-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 54109) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |