| NPI | 1578927752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIKMAT GOGUE Owner 586-446-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301044392) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |