| NPI | 1457865354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN ABO-RASS Resident Agent 248-915-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 5315068295) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |