| NPI | 1619136728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER NALIN Md 317-274-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA 11013480A) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2011-04-12 |