| NPI | 1447215538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BERGSMAN Manager 313-966-4946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301028293) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-09-19 |