| NPI | 1902462880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYLAN SLOTAR Physician/President 219-301-7265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |