| NPI | 1477820017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KLAZ Senior Partner 317-698-6883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IN 01038707A) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2013-10-18 |