| NPI | 1104452929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVAS KONERU Physician/Owner 586-722-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |