| NPI | 1023592946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PATRICK OSHAUGHNESSY Owner 317-595-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |