NPI | 1104346634 |
---|---|
Entity Type | Organization |
Authorized Contact | WASEEM GHANIM PETROS President 248-250-8233 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301105506) |
Enumeration Date | 2017-06-26 |
Last Update Date | 2024-02-14 |