| 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 |