NPI | 1699946046 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN T YOUNG Md Owner 317-923-2301 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IN 18679) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2008-03-13 |