| NPI | 1316218126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NII TETTEH ADDY Owner 575-887-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NM MD2A-1299-05) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2019-07-10 |