| NPI | 1104015403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJEEV SHANMUGA VENKATARAMAN Psychiatrist 248-737-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI SV056477) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |