NPI | 1518008440 |
---|---|
Entity Type | Organization |
Authorized Contact | KAMALAKAR REDDY YATURU Owner 318-549-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: LA 11407R) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-09-05 |