Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | BK006986 | MI |
NPI | 1053356246 |
---|---|
Provider Name | Bruce Kaplan |
First Address | Southfield, MI 48075 |
Second Address | Southfield, MI 48075 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B44799 | (02) |