| NPI | 1962711549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CESAR DIAZ HIDALGO President 248-852-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301039585) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301039585) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |