| NPI | 1659305514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MILLER President 734-936-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-04-05 |