| NPI | 1689916199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMAEL HAQUE Member 734-637-9239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101015840) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |