| NPI | 1043942519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUKWUDI OKONMAH Owner 248-431-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2023-01-18 |