NPI | 1881471514 |
---|---|
Entity Type | Organization |
Authorized Contact | RAJIVE K ADLAKA Owner 219-864-9494 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2023-09-14 |
Last Update Date | 2023-09-14 |