NPI | 1225264112 |
---|---|
Entity Type | Organization |
Authorized Contact | CONNIE M GOELZHAUSER Office Manager 812-759-6164 |
Organization Subpart ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IN 01058606A) |
Enumeration Date | 2009-06-05 |
Last Update Date | 2009-08-03 |