| NPI | 1083792303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJITPAL RANDHAWA Secretary 248-539-9084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-04-16 |