| NPI | 1487614590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY D. BERMAN Secretary 612-338-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2010-02-02 |