NPI | 1114120029 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL R MCCORMACK President 812-334-1198 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IN 50003795A) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2020-08-22 |