| NPI | 1366541856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SALAZAR RAMIREZ President 810-230-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301043485) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-09-24 |