| NPI | 1437316056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVA S KRISHNA Physician/Owner 256-890-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AL 00025205) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2016-01-21 |