| NPI | 1922265982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADNAN HALIM MATTA President 313-914-4703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301034389) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301034389) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2022-09-19 |