| NPI | 1194918540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURKE ELEYET CHEGAR President / Director 317-844-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: IN 01061854A) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2024-01-24 |