| NPI | 1154833002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOAZZAM HABIB President 317-590-2604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01040236A) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |