| NPI | 1457925109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANNY K CHAN CEO 720-515-9810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-05-17 |