| NPI | 1811424245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAMSHIDHAR GUDUGUNTLA Director 313-461-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MI 4301094061) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |