| NPI | 1033548581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR AHMAD Owner 313-231-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301092682) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301093212) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2023-10-11 |