| NPI | 1134434731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRBISLAV BRASOVAN Owner 219-738-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IN 036103826) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |