| NPI | 1194853804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER TON Owner 812-234-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01055194) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01039701A) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |