| NPI | 1396135927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAAKESH CHANDRA BHAN Md 269-441-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301048458) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |