| NPI | 1992890891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUCHIR AGRAWAL Owner/Physician 414-761-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |