| NPI | 1851100119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE EL-YUSSIF Owner 586-600-5634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-03-31 |