| NPI | 1003118183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY A SHEVITZ Medical Director 313-258-4855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301028752) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: MI 4301028752) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2011-04-15 |