| NPI | 1104247899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUSAR KISHORE DESAI Owner 248-229-8354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301044285) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2014-03-07 |