| NPI | 1073570529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SHUFFLEBARGER Executive Director 317-962-4836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2009-04-06 |