| NPI | 1487741377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSUE J VILLALTA President 317-329-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: IN 01029614A) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |