NPI | 1528145935 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID WILLIAM DEMELLO Owner 586-228-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MI DD007358) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2013-10-15 |