NPI | 1417697525 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG S. KAMEN President 812-283-5950 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2022-03-29 |
Last Update Date | 2023-11-14 |