| NPI | 1588614861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MITCHELL ROSS President 336-768-0914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2009-02-09 |