| NPI | 1306018866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY D SANDEL Medical Director 317-581-9385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: MD D0067391) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-10-17 |