| NPI | 1972004653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A WATHEN Secretary/Treasurer 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-05-15 |