| NPI | 1801036132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA D SHOLAR Owner 812-401-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IN 01062143A) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-04-27 |