| NPI | 1518124320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing Coordinator 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 2086S0129X Surgery, Vascular Surgery | |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2018-12-04 |