| NPI | 1700816881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207KA0200X Allergy & Immunology Allergy | |
| 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology | |
| 207R00000X Internal Medicine | |
| 207RI0001X Internal Medicine Clinical & Laboratory Immunology | |
| 207YX0602X Otolaryngology Otolaryngic Allergy | |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-05-03 |