| NPI | 1609198266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN S JACOBS Managing Partner 317-577-6056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01047166A) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |