| NPI | 1992032338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED M SHUKAIRY Owner 810-742-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: MI 4301037118) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 1601000320) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301085139) | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2011-02-16 |