| NPI | 1801810346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE T BROWN COO 765-453-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IN 01056265A) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: IN 01067807A) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-11-13 |