| NPI | 1952350555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAUFIEK ALHADI Owner 313-580-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2016-06-01 |