| NPI | 1790340958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI SALLOUM Co Owner 248-930-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2024-05-28 |