NPI | 1023195021 |
---|---|
Entity Type | Organization |
Authorized Contact | BETHANY A. CATALDI Owner 219-836-4820 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IN 02002695A) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2015-03-24 |