| NPI | 1407072788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENOIT DEKI TANO CEO 512-338-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: TX M4963) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-05-19 |