| NPI | 1457692972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZINEB A AMMOUS Physician 317-871-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2023-10-20 |