| NPI | 1104621044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KOFFIE CEO 812-756-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-09-25 |