| NPI | 1932693884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ANDOH Physician 219-895-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01042402) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2019-02-20 |