| NPI | 1275120511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSHAVARDHAN KRISHNA President 248-219-9320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2022-04-13 |