| NPI | 1083872923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN JEUP Credentialing Specialist 248-680-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2018-12-13 |