| NPI | 1033581962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM ZABANEH Managing Partner 219-836-1152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2016-03-07 |