| NPI | 1386947331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS GOLDFARB President 313-563-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301045024) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |