| NPI | 1851040356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN GAMBLE CFO 313-576-8935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |