| NPI | 1588033153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA THOMAS Owner 313-832-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME115531) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL me115531) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |