| NPI | 1457730616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALY FONTIL President 734-678-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 117418) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 117418) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |