| NPI | 1598991689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J REID Owner 415-788-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA G13859) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |