NPI | 1265572838 |
---|---|
Entity Type | Organization |
Authorized Contact | FAROUK E MERCHO Medical Director 812-234-4642 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01031856A) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2008-04-09 |