| NPI | 1316919616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLIAN SAM KATHAWA Managing Member 248-579-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5101006198) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2025-10-28 |