| NPI | 1144989260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR RAHAL Owner 313-442-3574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |