| NPI | 1972051530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ABDUL-MALEK Owner 313-485-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 5101017305) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |