NPI | 1194774752 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID LOPEZ Director Of Physician Services 810-606-5893 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Additional Taxonomies | 207Q00000X Family Medicine |
207RC0000X Internal Medicine Cardiovascular Disease | |
208000000X Pediatrics | |
2080N0001X Pediatrics Neonatal-Perinatal Medicine | |
2086S0129X Surgery Vascular Surgery | |
Enumeration Date | 2006-05-09 |
Last Update Date | 2024-06-12 |