| NPI | 1588799100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS DEVA SAMY Medical Director 248-852-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301061131) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-07-07 |