| NPI | 1225652993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMEGOWDA RAJAGOPAL Owner 248-827-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 207R00000X Internal Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |