| NPI | 1588947022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMALEE KANCHANARYANA Owner 586-286-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI RU033666) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |