| NPI | 1053561928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRIDA IVETA OZOLS Partner 317-329-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: IN 01024873) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01027554) |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: IN 01057248) | |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2013-09-11 |