| NPI | 1154502243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS ORTEGA Owner 313-381-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI jo4301031455) |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2007-11-17 |