| NPI | 1780499871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARJANA M ALAM Owner 313-603-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |