| NPI | 1457921413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAH NASSER Owner 313-485-5680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-08-16 |