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 |