| NPI | 1861587156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL R MCCORMACK President 812-334-1198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IN 50003795A) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-08-08 |