| NPI | 1629511456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ABDOUSH Owner 313-384-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 118674) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |