| NPI | 1710902671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE TROMBLE Administrator 317-583-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 50000804A) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 50000804A) |
| 2086S0129X Surgery, Vascular Surgery (Licence: IN 50000804A) | |
| 204F00000X Transplant Surgery (Licence: IN 50000804A) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-06-03 |