| NPI | 1497130132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHALAI ARIVOLI President 517-924-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 065709) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2021-09-17 |