| NPI | 1326725524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM ABDULHAK Medical Director / Dermatologist 313-663-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2024-03-04 |