| NPI | 1801053244 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MOHAMAD AL-JARRAH Owner 586-978-1300  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease | 
| Additional Taxonomies | 207Q00000X Family Medicine | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301057471)  | |
| Enumeration Date | 2008-05-22 | 
| Last Update Date | 2023-05-11 |