NPI | 1114118205 |
---|---|
Entity Type | Organization |
Authorized Contact | RALPH AVEDISIAN President 231-843-3487 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101008322) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 5101008322) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2011-12-05 |