NPI | 1336810712 |
---|---|
Entity Type | Organization |
Authorized Contact | FOLARANMI OLUWASEGUN OLUWALOJU Owner 346-400-8253 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
Enumeration Date | 2021-09-24 |
Last Update Date | 2021-09-24 |