| NPI | 1598202467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAAD AL-KHOURI Owner 248-854-4206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301094540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092314) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-02-17 |