| NPI | 1760411680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M DERDERIAN Owner 586-493-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 009575) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2009-08-05 |