| NPI | 1275774531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME WILBORN Owner /Sole Member /Practitioner 734-812-4219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI JW057004) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |