Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 4301036620 | MI |
NPI | 1053376384 |
---|---|
Provider Name | Robert R Diloreto |
First Address | Grosse Pointe Farms, MI 48236-3527 |
Second Address | Grosse Pointe Farms, MI 48236-3527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 14/09/2016 |