| NPI | 1255618203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDWIG E KHOURY Sole Member 315-624-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 241599) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |