| NPI | 1922266808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR UBOM Owner Do 248-557-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: MI 5101007418) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-06-18 |