| NPI | 1598138661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR F FULEIHAN Authorized Representative 313-745-1293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |