| NPI | 1811742539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHUSUDAN VENKATA REDDY Clinical Fellow 734-217-7129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |