| NPI | 1275756736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUCHITRA BHAKTA Owner 248-693-1856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301065578) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2009-10-02 |