NPI | 1073798146 |
---|---|
Other Name | CHRISTOPHER TALLO, MD |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER PHILIP TALLO Medical Doctor 260-490-8022 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: IN 0144949) |
Enumeration Date | 2008-01-08 |
Last Update Date | 2008-01-08 |