| NPI | 1437776689 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | FARHAN SIDDIQ Owner 248-809-3240  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207T00000X Neurological Surgery | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology | 
| Enumeration Date | 2020-07-02 | 
| Last Update Date | 2021-01-23 |