NPI | 1336342823 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL JOHN STOUT Owner 317-848-5494 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 50002705A) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2010-07-08 |