| NPI | 1194505735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEUNG CEO 734-846-4910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-04-04 |