| NPI | 1164528543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN H PARK President And CEO 317-580-6307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-10-30 |