| NPI | 1396046587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEIA RUEDA CASAB Physician 248-247-5869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301033492) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301033492) |
| 2085B0100X Radiology, Body Imaging (Licence: MI 4301024834) | |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: MI 4301024834) | |
| 2085N0700X (Licence: MI 4301024834) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301024834) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MI 4301024834) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: MI 4301024834) | |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |