| NPI | 1689995334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISA S CANAVATI President 260-436-2416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 207T00000X Neurological Surgery | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2018-12-07 |