| NPI | 1376738013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMACHANDRA K PUDUPAKKAM President 419-227-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35035640) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2012-01-04 |