NPI | 1417921628 |
---|---|
Entity Type | Organization |
Authorized Contact | RODRIGO TOBAR Secretary/Treasurer 248-557-0535 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI RT008998) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2012-01-18 |