| NPI | 1972855138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOGES SISAY Owner 812-437-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IN 01053981A) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2020-06-03 |