| NPI | 1225300155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHA REDDY Medical Director 313-891-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301078486) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2015-06-05 |