| NPI | 1760632962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZEN ELYAN Owner 734-682-5524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301093250) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2012-01-05 |