| NPI | 1063000180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA EL MASRI Credentialing Coordinator 248-215-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-05 |