| NPI | 1497048649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT R ELIE Sole Member/Physician 734-417-7054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI VE 057786) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |