| NPI | 1790983377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDAR MOHAN JHAMB Medical Doctor 270-782-3237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KY 20856) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |