| NPI | 1417231317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOUAD A DAKHLALLAH Owner 313-969-0278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301085126) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2024-01-04 |