| NPI | 1043381288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA ZACHARY DYME Owner 517-482-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 4301046743) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2008-07-14 |