| NPI | 1265690408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H BENADERET Managing Member 586-206-0985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301043632) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301033593) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-07-15 |