| NPI | 1588753958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY JOSEPH KANER President 586-286-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101006993) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-06-08 |