NPI | 1134315948 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM MICHAEL MCCUNE President 317-745-6305 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01023945A) |
Enumeration Date | 2007-09-15 |
Last Update Date | 2007-10-30 |