| NPI | 1154531895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY CORTESE President 317-780-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01020422A) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |