| NPI | 1386830651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED M SHUKAIRY President/Owner 810-742-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MI 4301037118) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2009-11-23 |