| NPI | 1467644120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILTON HUDSON Owner 219-922-6802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2015-07-01 |