| 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 |