| NPI | 1265996144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN UNGAR-SARGON Owner 219-866-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2021-06-09 |