| NPI | 1588986996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAZEEN AHMED Owner 989-891-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI TA066513) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2021-03-30 |