| NPI | 1417036054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSEL ALTANTAWI Physician/President 248-635-7574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI BA074111) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |