| NPI | 1063872075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZEM ALHUSEIN Co Owner/Med Director 313-277-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301055667) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301055000) |
| 207Q00000X Family Medicine (Licence: MI 4301052856) | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |