| NPI | 1417616525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON K MARTINEZ Owner And Medical Director 317-656-9089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 2086S0129X Surgery, Vascular Surgery | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2022-02-22 |