| NPI | 1164954392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARRUKH ANWAR Owner 989-672-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301071087) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2021-03-30 |