| NPI | 1548256126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LIM President 248-674-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI LC001596) |
| Additional Taxonomies | 208800000X Urology (Licence: MI KL007576) |
| 208800000X Urology (Licence: MI WM007547) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |