| NPI | 1336325240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNOCENT E. AGBASSI Owner 313-282-4328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301075373) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |