| NPI | 1023211422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHAITH M IBRAHIM President 586-757-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2010-03-16 |