| NPI | 1184332413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLAN COCANOWER President/Owner 812-573-3364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2023-10-15 |