NPI | 1346299005 |
---|---|
Entity Type | Organization |
Authorized Contact | RAJESH KACHARALAL PATEL Owner 407-804-6002 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: FL ME0062618) |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: FL ME0062618) |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: FL ME0062618) | |
207K00000X Allergy & Immunology (Licence: FL ME0062618) | |
Enumeration Date | 2006-05-09 |
Last Update Date | 2020-12-22 |