NPI | 1538154604 |
---|---|
Entity Type | Organization |
Authorized Contact | KAMAL KUMAR TIWARI President 812-824-5688 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IN 61100223B) |
Enumeration Date | 2005-09-15 |
Last Update Date | 2020-08-22 |