| NPI | 1740231034 |
|---|---|
| Former Legal Business Name | J U DESOUSA MD PC |
| Entity Type | Organization |
| Authorized Contact | CATHY CHARTERS Office Administration 313-846-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-05-17 |