| NPI | 1891106597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WINTERS Residency Director 317-338-2281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |