| NPI | 1629295951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA M DAPRILE Office Assistant 317-887-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0012X Otolaryngology Sleep Medicine (Licence: IN 01022807A) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-09-04 |