| NPI | 1568806461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W HAUSWIRTH Owner 614-766-4903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35079319) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-06-21 |