| NPI | 1194047712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIMOONA HUSAIN Owner 313-872-0398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301050453) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301078077) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-03-03 |