| NPI | 1316448814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA V THAKKAR President 414-447-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 47942) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |