| NPI | 1629146493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQ KAKISH Owner Physician 248-399-5492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301067872) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2015-08-14 |