| NPI | 1861753725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMADREZA KAHNAMOUEI Sole Member 313-622-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: MI 4301090040) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2014-02-16 |