| NPI | 1770971616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYEZ KOTOB Owner/President 810-230-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: MI 4301098964) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2015-03-31 |