NPI | 1073990867 |
---|---|
Entity Type | Organization |
Authorized Contact | JATIN RAMESH PATEL President 219-836-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
Enumeration Date | 2015-04-30 |
Last Update Date | 2022-07-21 |