| NPI | 1679987424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANADY DAAS Owner 313-663-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: MI 4301088353) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: MI 4301104261) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-08-21 |