NPI | 1255439956 |
---|---|
Entity Type | Organization |
Authorized Contact | NAZMUL HAQUE Owner 248-203-1282 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301061429) |
208000000X Pediatrics (Licence: MI 4301086498) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2021-05-24 |