| NPI | 1780957860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD REZVANI CEO 734-788-9646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A113116) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA A113116) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-03-01 |