| NPI | 1477131126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BUNDY Admin Director 317-423-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |