NPI | 1285167007 |
---|---|
Former Name | MICHAEL DEGRAW-BERTSCH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 303220) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 303220) |
Enumeration Date | 2017-04-08 |
Last Update Date | 2023-10-06 |