NPI | 1912998014 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL J. RAIMAN Owner/Practitioner 260-489-8898 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IN 50004032A) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2008-02-28 |