| NPI | 1013073360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL E SEALS Secretary Treasurer 765-751-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |