| NPI | 1124894308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIKANTH JYOTHINAGARAM President 248-376-9822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2024-01-19 |