| NPI | 1639561475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYYAB HUSSAIN MALIK President 810-813-5396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX N9258) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |