| NPI | 1003366675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVAS KONERU Physician 586-722-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2019-02-26 |