| NPI | 1477545200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY SHORT Office Manager 313-565-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2012-04-24 |