| NPI | 1366776577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANGITA C. PATEL Owner/President 248-250-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0102X Surgery, Surgical Critical Care | |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2019-10-18 |