| NPI | 1972895266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY HUGHES Supervisor 812-238-7904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01048818A) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01048818A) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-08-10 |