| NPI | 1124399316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EJAZ A DAWSON President 313-861-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4201058036) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |