| NPI | 1841535176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL LAO Owner 812-882-6124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 10142614A) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-12-11 |