| NPI | 1922803113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORAM MOGAKA Director 248-761-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-04-04 |