| NPI | 1174809826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2021-04-30 |