| NPI | 1609263573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR ALI Owner 248-213-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301101627) |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2015-04-18 |