| NPI | 1407357460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI D IBRAHIM Owner/ Director 317-441-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2020-04-30 |