| 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 |