| NPI | 1164960571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHEESH TEWARI Physician 313-441-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MI 4301078018) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301078018) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2019-07-09 |