| 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 |