NPI | 1780637058 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN E HAINLINE Physician 317-274-2966 |
Organization Subpart ? | No |
Primary Taxonomy | 207SC0300X Medical Genetics Clinical Cytogenetics |
Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) |
207SG0203X Medical Genetics Clinical Molecular Genetics | |
207SM0001X Medical Genetics Molecular Genetic Pathology | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2014-08-01 |