| NPI | 1184189169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELA KUDISH CEO 586-420-3955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-06-04 |