| NPI | 1619170644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATHA T KANNAN Owner 248-353-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI LK070401) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2010-12-09 |