| NPI | 1619553880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABIL H. HODROJ Director 313-467-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| 207QS0010X Family Medicine Sports Medicine | |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-03-19 |