| NPI | 1851840599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER A IZAD Managing Member 812-281-2608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: IN 01077271A) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2021-12-30 |