| NPI | 1154807337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROULA DAHER Owner/Physician 313-623-7617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301101430) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |