| NPI | 1649529462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBOUD KAWAK Owner 317-887-7588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01052617A) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2013-12-17 |