| NPI | 1033531686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UJWALA PURANIK Administrator 219-476-7246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 1063580A) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-04-04 |