| NPI | 1326771965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEEL HAQ Owner 812-989-1976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2024-02-14 |