| NPI | 1619863933 |
|---|---|
| Other Name | ELITE SPORTS & REGENERATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD IBRAHIM Manager 313-764-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-13 |