| NPI | 1821543109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAY GHALIB Medical Director 810-813-0653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301074635) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |