| NPI | 1316482870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHIF RASOOL Authorized Official 313-986-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |