| NPI | 1255460507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO DI NICOLO Director 386-252-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME51694) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2010-08-24 |