| NPI | 1255830121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA AMINOVA Organizer 248-765-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301080284) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301080284) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |