| NPI | 1649842030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS E. GLASER President 877-885-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology |
| 208800000X Urology | |
| 2088P0231X Urology Pediatric Urology | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2024-08-02 |