| NPI | 1407507742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA M GIBSON Md 248-885-6698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |