| NPI | 1578749792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED M. ABDEL-HAMID Owner 636-940-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: MO 2000170148) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-06-27 |