| NPI | 1659577351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB KALO Owner 248-932-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Additional Taxonomies | 174400000X Specialist (Licence: MI Jk040053) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2022-11-02 |