| NPI | 1518996719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PORILE Authorized Official 574-273-6787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2023-09-20 |