| NPI | 1417246133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR F. FULEIHAN Authorized Representative 313-993-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |