| 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 |