Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 4301063251 | MI |
NPI | 1013020254 |
---|---|
Provider Name | Adeeb M Atassi |
First Address | Dearborn, MI 48120-1802 |
Second Address | Dearborn, MI 48124-5032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 18/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G93894 | (02) |