NPI | 1326235854 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY MARTIN Administrator 248-414-5367 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301052678) |
Enumeration Date | 2007-09-28 |
Last Update Date | 2008-06-20 |