NPI | 1821270158 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT NEIL ELLIOTT Physician/Owner 812-248-9350 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01056931A) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2007-11-28 |