| NPI | 1972811503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NALINCHANDRA GOPALDAS SHAH President Md 423-247-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN MD0000015776) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN MD0000015776) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |