| NPI | 1710174271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED MASEEHUR REHMAN Owner 419-843-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35071039) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OH 35071039R) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2012-04-16 |