NPI | 1376952234 |
---|---|
Entity Type | Organization |
Authorized Contact | RUCHIR AGRAWAL President 262-327-0704 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 68876) |
Additional Taxonomies | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: GA 68876) |
Enumeration Date | 2014-08-05 |
Last Update Date | 2014-08-05 |