| NPI | 1366097016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD SCHULMAN Office Manager 574-286-6802 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |