| NPI | 1376296434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA EL MASRI Billing Manager 248-215-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2023-04-10 |