| NPI | 1770763310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO FERNANDEZ DELARA Owner 313-562-3832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI AD048423) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-13 |