| NPI | 1053914721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDE V ALI Medical Director 586-416-2550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |