| NPI | 1912036104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN F ISENBERG President 317-355-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 01026266) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2009-10-29 |