| NPI | 1164887329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAIL E ASFOUR Physician/Owner 219-934-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01053031A) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |