| NPI | 1164603007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMALESH BABU Owner 574-273-6546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036077273) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |