| NPI | 1942615497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELPIDIO M FELICIANO Owner/Physician 317-385-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01056999) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-08-26 |