| NPI | 1578801080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIN S HUBALLAH Physician Assistant 313-834-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5601005284) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2014-04-30 |