NPI | 1376732388 |
---|---|
Entity Type | Organization |
Authorized Contact | SHABBIR KHAMBATI Preident 586-792-3891 |
Organization Subpart ? | Yes |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MI SK070791) |
Enumeration Date | 2007-10-16 |
Last Update Date | 2008-05-06 |