| NPI | 1033768619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LJUBOMIR ILIC President 812-837-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2023-06-15 |