| NPI | 1043542459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIEZER MONGE President/Physician 248-474-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301027308) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2013-01-21 |