| NPI | 1518104124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOAIB A CHOWDHURY Md 231-779-9960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MI 4301078654) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2012-11-29 |