| NPI | 1205312428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODWAN FADLALLAH President 313-406-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301103085) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2023-02-22 |