NPI | 1164452025 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-07-04 |
Last Update Date | 2021-04-30 |