| NPI | 1649451964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHADI G GHORAYEB Owner 313-563-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI GG078483) |
| Additional Taxonomies | 202K00000X (Licence: MI GG078483) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2017-04-26 |