| NPI | 1992081640 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology | 
| Additional Taxonomies | 208000000X Pediatrics | 
| Enumeration Date | 2011-10-26 | 
| Last Update Date | 2021-04-30 |