| NPI | 1962544627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMELLE A BELMONTE Owner 812-402-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01044467A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01044467A) |
| 207R00000X Internal Medicine (Licence: KY 31177) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 31177) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-07-11 |