| NPI | 1891307443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GOSWAMI Office Admin 734-374-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2021-07-21 |