| NPI | 1962704585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAY SAMUEL President 248-347-8293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301060170) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |