| NPI | 1578967634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALAK SHANTA Credentialing 517-574-5645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 05741L) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2025-11-19 |