| NPI | 1407385529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD K JAURA Owner 248-225-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MI 4301080436) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-07-21 |