| NPI | 1629004171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA DABBOUS Practice Administrator 313-563-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2008-10-15 |