| NPI | 1821201468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED AMJAD SOOFI Medical Doctor 734-241-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI MS049788) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2015-02-02 |