| NPI | 1831681113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA ABRAHAM Owner 248-651-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MI 5101020319) |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2018-06-03 |