| NPI | 1962586198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P FOUTY CFO/Authorized Representative 812-232-0564 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-04-20 |