| NPI | 1548933229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DWYER Assistant Secretary 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-29 |