| NPI | 1609811918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMI F RIFAT Member 248-952-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: MI SR056808) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2013-11-01 |