NPI | 1891845418 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIUS RODNEY ELLIS Owner 219-362-4690 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01052711A) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |