| NPI | 1720094337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LABEED NOURI President 586-698-2358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2012-03-14 |