NPI | 1043566185 |
---|---|
Entity Type | Organization |
Authorized Contact | RUDYARD L DIMSON Md Manager 586-228-8606 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301057383) |
Enumeration Date | 2012-07-26 |
Last Update Date | 2012-08-17 |