| NPI | 1003040288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVEEND THABOINGAM Physician 248-552-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI rt080781) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |