| NPI | 1134564602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMRON CAPRAROTTA Practice Manager 574-387-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2016-12-08 |