| NPI | 1770760506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED JAMIL AHMED KHAN Owner 810-984-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301031939) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |