| NPI | 1972918829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABU FAZAL SHAIK MOHAMMED Owner 248-522-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301088545) |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2014-06-29 |