| NPI | 1023314341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOUD I RAHIM Owner 313-849-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI MR065143) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |