| NPI | 1619004512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAQAR SIDDIQUI Managing Physician 586-754-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2012-01-24 |