| NPI | 1356532113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE C MCBRIDE Practice Manager 812-332-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0012X |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |