| NPI | 1538176110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS BERKOVICH Owner 248-539-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI RS021858) |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine | |
| 207L00000X Anesthesiology (Licence: MI 4301043383) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-06-05 |