| NPI | 1235315714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHROKH MANSOORI Owner 248-844-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI SM038518) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2010-07-27 |