| NPI | 1710904677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED A RAZZAQUE Physician 313-292-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301032279) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2010-09-02 |