| NPI | 1811153364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONOR PAGTAKHAN-SO Medical Doctor 606-432-0174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KY 17816) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |