| NPI | 1508532789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DWYER Market President 888-822-2855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |