NPI | 1174994834 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS A SONDERMAN Cmo 812-334-8958 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2015-10-07 |
Last Update Date | 2015-11-04 |