NPI | 1104158013 |
---|---|
Entity Type | Organization |
Authorized Contact | AYOUB SAYEG Medical Director 248-526-9090 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301072477) |
Enumeration Date | 2010-02-02 |
Last Update Date | 2010-02-02 |