| NPI | 1538526785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDIP RINGWALA Owner 262-657-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: WI 60091-21) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |