| NPI | 1154080786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOSAMANE S PRABHAKARA President 678-489-7901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-04-04 |