NPI | 1982894424 |
---|---|
Doing Business As | N/A |
Entity Type | Organization |
Authorized Contact | BABIANO M.S. KIM Dr. 313-295-1842 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: MI 4301044759) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2008-07-15 |