| NPI | 1033654595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPILIOS PAPPAS Authorized Official 313-986-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |