| NPI | 1548512213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINH TRAN Authorized Representative 317-214-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |