| NPI | 1457647828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHUTOSH NIRAJ Director 313-377-3913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX N9924) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N9924) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N9924) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX N9900) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX N9924) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX N9900) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX N9900) | |
| 208D00000X General Practice (Licence: TX N9900) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-09-26 |