| NPI | 1598503799 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | MOHAMED ELNAEM GISMALLA President 313-627-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-07-20 |
| Last Update Date | 2024-09-20 |