| NPI | 1831626688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI L LILLY Credentialing Specialist 812-989-5495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01046148A) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |