| NPI | 1225158116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUQMAN SEIDU Partner 330-289-1783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: GA 059015) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |