NPI | 1659516334 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SAMUEL MENDELOWITZ President 219-325-0152 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IN 01030941A) |
Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IN 2989) |
Enumeration Date | 2008-12-09 |
Last Update Date | 2008-12-09 |