| NPI | 1578014502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYALAKSHMI NAGAPPAN Owner 248-396-1306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301076671) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |