| NPI | 1952692303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THOMAS FREDERICK CFO 919-613-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2022-07-11 |