| NPI | 1841254828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMPOP SRISUWANANUKORN President 219-836-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01030518A) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01030518A) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2014-07-10 |