| NPI | 1932141306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAI SISTA Owner Physician 248-344-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301034917) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-12-08 |