| NPI | 1184771636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LASKER Owner 205-515-0538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2024-09-09 |