| NPI | 1720137334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINDU BENNURI Provider 205-333-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 22399) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: AL 22564) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2009-09-23 |