NPI | 1225256514 |
---|---|
Entity Type | Organization |
Authorized Contact | LEONARD VINCENT COVELLO President 219-836-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
Enumeration Date | 2007-04-23 |
Last Update Date | 2008-11-17 |