| NPI | 1386819746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL ANDRE WAITZMAN Physician 313-582-8853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301071017) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-06-04 |