| NPI | 1588387096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID THANAWALLA Medical Director 248-388-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2023-01-27 |