| NPI | 1962696831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISHATH KHURSHID HAKIM Owner 248-545-4852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |