| NPI | 1790435840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHANAD SUEDE Owner 313-779-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |