NPI | 1548347206 |
---|---|
Entity Type | Organization |
Authorized Contact | OBIOMA S AGOMUOH Owner 313-893-8314 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301063912) |
Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: MI 4301063912) |
208D00000X General Practice (Licence: MI 4301063912) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2008-09-26 |