| NPI | 1871614081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKEMI TAKEKOSHI President Physcian 586-286-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI AT029820) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-02-23 |