| NPI | 1932289568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD S SUH M.D. 317-890-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-08-06 |