| NPI | 1093839664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L B TUBERGEN President 317-243-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: IN 01025706) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-16 |