| NPI | 1699227116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW RATHNASAMY XAVIER Member 248-621-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301088851) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301088851) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2020-07-08 |