| NPI | 1437859105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN HOLTZMAN Owner 734-330-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |