| NPI | 1306538889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASSER HASSANE Physician/Office Manager 313-213-7538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |