| NPI | 1740510619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SKARDARASY Md, Pc 586-258-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301047519) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2010-12-22 |