| NPI | 1093021164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRAJ S PATEL Sole Proprietor 574-344-3609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IN 01063921A) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |