NPI | 1831633502 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES E LEGRAND Proprieter 317-300-0370 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01041511A) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 01041511A) |
Enumeration Date | 2016-12-14 |
Last Update Date | 2016-12-14 |