| NPI | 1447229380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUSHPOM JAMES Medical Doctor 260-489-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-08-08 |