| NPI | 1679776975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT I PATEL Self 909-931-4934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA A40664) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |