| NPI | 1184021990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON JAMES Sp 248-956-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173F00000X Sleep Specialist, PhD |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2016-05-26 |