| NPI | 1982772935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JOSEPH HURLEY Owner 317-859-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2022-03-15 |