| NPI | 1093953234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANWER AHMED JAFFRI Owner 812-645-3472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 01052586A) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2016-10-19 |