| NPI | 1447314067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LAZOFF Partner 260-750-6392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2022-11-02 |