| NPI | 1457727307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIBHI HAZIN Owner Provider 734-699-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301097437) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2019-11-14 |