| NPI | 1285201756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN OLIVER President 877-885-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 208200000X Plastic Surgery | |
| 2086S0120X Surgery, Pediatric Surgery | |
| 208800000X Urology | |
| 2088P0231X Urology, Pediatric Urology | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-07 |