| NPI | 1790778363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKESH N SAXENA President 989-463-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4310032524 (active)) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 0419873 (Inactive)) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NM 82307 (Inactive Lic)) | |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2020-08-22 |