| NPI | 1285805879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNDATHAJE ISHWARA BHAT President 269-683-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 42240) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-05-06 |