| NPI | 1992001473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHID RANDHAWA Md 954-717-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: FL ME92264) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2012-09-10 |