| NPI | 1275790156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VORAVIT GERAVIPOOLVORN President 586-772-8158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MI 4301031947) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2009-12-17 |