| NPI | 1568639037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD KOWLOWITZ Medical Director 317-706-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2023-10-23 |