NPI | 1437223633 |
---|---|
Entity Type | Organization |
Authorized Contact | LINUS B GANDHI Manager 219-838-9333 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01036969A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01061275A) |
207R00000X Internal Medicine (Licence: IN 01057594A) | |
Enumeration Date | 2006-11-20 |
Last Update Date | 2012-12-03 |