| NPI | 1225301260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALEH ALI GHAITH Owner 313-914-5270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MI 4301084363) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2022-07-21 |