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 |