| NPI | 1982092219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO MOYA Presidnet 910-667-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |