| NPI | 1407233745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHA H NGO Owner 248-662-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MI 5101017406) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-06-04 |