| NPI | 1326278375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY LACAZE Authorized Signatory 888-822-2855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2014-04-03 |