Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 4301059096 | MI |
NPI | 1063420628 |
---|---|
Provider Name | Dr. Delfin Santos |
First Address | Rochester, MI 48307 |
Second Address | Rochester, MI 48307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 30/11/2018 |