| NPI | 1316966229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH L COLEMAN Authorized Official 317-948-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 174400000X Specialist |
| 2086S0102X Surgery, Surgical Critical Care | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-10-04 |