| NPI | 1639443773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJITH KADAKOL Physician / Owner 586-573-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: MI 4301093222) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2023-03-07 |