| NPI | 1649707134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIBBAN DEOL Owner 313-575-7865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301078546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301078546) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |