| NPI | 1730521626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADWAN MALAS Practice Manager 248-854-5357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301087281) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091031) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |