| NPI | 1194443283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CHEN Assistant Secretary 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2088P0231X |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| 2086S0120X Surgery, Pediatric Surgery | |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2023-10-30 |