| NPI | 1760700660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATINA MASRI Owner 313-945-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI 4301052487) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI 4301052487) | |
| 291U00000X Clinical Medical Laboratory | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| 207Y00000X Otolaryngology (Licence: MI 4301052487) | |
| 207YS0012X Otolaryngology, Sleep Medicine | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MI 4301052487) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2020-03-10 |