| NPI | 1487851994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMEO H TABBILOS Physician 313-872-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301031236) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-08-17 |