| 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 |