| NPI | 1225168404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY G. GIRAGOS Owner 219-836-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01022615A) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |