| NPI | 1770501256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES CANELAS Administration 219-836-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IN 01040667) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: IN 01042616) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-09-15 |