| NPI | 1053557850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL B FAVILA Owner 812-238-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01039992A) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2010-05-13 |