| NPI | 1902390958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIR IJAZ Biller 810-275-9371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |