| NPI | 1164435152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WILLIAM TATTERSALL Member President 219-877-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-11-25 |