| NPI | 1639491707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L GROSS Owner 317-745-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN IN01032766) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |