| NPI | 1396075982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON GAYLON HALUM Owner 317-254-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 01060707A) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |