| NPI | 1831510338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTRAM ANTHONY GRAVES President 317-584-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IN 01039628A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01039628A) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2015-02-13 |