| NPI | 1043542913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFTIKHAR HUSSAIN Sole Member 313-882-5476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI LR007021) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI IH009631) |
| 207Q00000X Family Medicine (Licence: MI VG030430) | |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |