| NPI | 1437204831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA R URVAL President 304-234-8912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WV 16677) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WV 20636) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2025-07-17 |