| NPI | 1295792398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA ABDELGALIL IMAM Sole Member 740-373-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 350732851) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-08-22 |