| NPI | 1417304775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MHD- HUSSAM DIARBAKRLI Owner 606-791-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301056799) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-06-10 |