| NPI | 1861467409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARESH I. DESAI President 814-226-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD056503L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD056503L) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2010-08-31 |