| NPI | 1417407032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZEN NASEEB HAMAMEH Member Physician 313-278-2788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101016795) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |