NPI | 1184892754 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID JONNALAGADDA President 313-345-0161 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MI DJ033519) |
Enumeration Date | 2008-02-15 |
Last Update Date | 2008-04-20 |