| NPI | 1467517862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEM SAMIR-MOEZ Medical Director 313-410-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301063463) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |