| NPI | 1912120338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERFAN ADEL OBEID Medical Director 313-584-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2010-12-14 |