| NPI | 1285951921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH VINCENT GIANNOBILE President 318-398-1989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: LA MD.203247) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |