| NPI | 1700223617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGUIB I DEMIAN Owner 810-985-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: MI 4301076835) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-08-23 |