| NPI | 1558411512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDA GIAMBINO Office Manager 248-569-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI RW045789) |
| Additional Taxonomies | 208800000X Urology (Licence: MI JS041027) |
| 208800000X Urology (Licence: MI PH063189) | |
| 208800000X Urology (Licence: MI JO085172) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2010-01-20 |