| NPI | 1679040224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHETAN PURANIK Member 219-476-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |