| NPI | 1245536481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANEETA R KHANNA Medical Doctor 586-772-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301078556) |
| Enumeration Date | 2011-02-06 |
| Last Update Date | 2012-04-19 |