| NPI | 1306104435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELPIDIO M. FELICIANO Owner 765-289-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01056999a) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-06-11 |