| NPI | 1235407602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEDU GOPALA Medical Doctor 812-460-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01040752A) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |