| NPI | 1306890975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ACHIN KIM Owner 248-650-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301055629) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MI 4301055629) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-09-11 |