| NPI | 1790730612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOTFI HADAD Owner 812-475-1948 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2024-02-01 |