| NPI | 1679030530 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HANADY BEYDOUN Office Manager 313-993-7777 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease | 
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | 
| 363AM0700X Physician Assistant, Medical | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2019-02-27 | 
| Last Update Date | 2019-02-27 |