| NPI | 1689085094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED MITWALLY Medical Director 248-701-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX P0765) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-09-04 |