| NPI | 1932433125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P FOUTY CFO 812-232-0564 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2010-08-12 |