| NPI | 1568483659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL GROSSMITH Owner Provider 812-830-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IN 01062317A) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-11-30 |