| NPI | 1144524729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAMIR DAVID ZUKKOOR Owner 248-851-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301046395) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2011-04-17 |