| NPI | 1588892939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KAZMA Director/Officer 313-882-5476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI LR007201) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI VG030430) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |