| NPI | 1760182554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN M KUMAR Authorized Official 219-703-1619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-06-05 |