| NPI | 1366444127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HOWARD HASLITT Secretary Treasurer 765-287-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: IN 50002637A) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2008-04-17 |