| NPI | 1730193657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR PETROS AL-MATCHY Owner President 586-275-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301070663) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2014-01-03 |