NPI | 1154482248 |
---|---|
Entity Type | Organization |
Authorized Contact | SARALA RAVIKANT President 248-879-8080 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301033574) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301033020) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2020-08-22 |