| NPI | 1962671388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NAEIM HENEIN Owner 248-312-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 061311) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MI 061311) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2017-10-30 |