| NPI | 1689609729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-05-03 |