| NPI | 1811125644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOOD MOOSA Owner 734-682-5243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2011-01-07 |