| NPI | 1861739427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORAM O MOGAKA CEO 248-809-2853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |