| NPI | 1730280330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID I MALITZ Owner 812-421-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 2000044-426) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-10-23 |