NPI | 1760682371 |
---|---|
Entity Type | Organization |
Authorized Contact | HASSAN DAKROUB Medical Director 313-216-2230 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301087179) | |
208000000X Pediatrics | |
208000000X Pediatrics (Licence: MI 4301067792) | |
Enumeration Date | 2007-07-21 |
Last Update Date | 2024-04-01 |