| NPI | 1538290390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE DAVID BOJRAB Doctor 260-490-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-01-24 |