NPI | 1801103072 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN RICHARD BACON Allergist 410-321-0284 |
Organization Subpart ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MD D0028727) |
Enumeration Date | 2010-09-08 |
Last Update Date | 2010-09-08 |