| NPI | 1881996197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIRDOUS ANJUM SIDDIQUI President 248-208-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MI 4301060352) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2012-02-08 |