| NPI | 1962694661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALAL THWAINEY Owner 313-383-8310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301047446) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301047446) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2020-12-18 |