| NPI | 1770527517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASAN H DESHIKACHAR Member 313-491-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-09-04 |