| NPI | 1114304755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKARRAM SIDDIQUI Owner 248-595-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301062045) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2023-07-01 |