| NPI | 1700337227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR A ELIAN Medical Doctor 810-600-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301075121) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301075121) |
| 2086S0129X Surgery, Vascular Surgery (Licence: MI AA062994) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2017-11-28 |