| NPI | 1952514895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H DELA VINA Office Manager 219-462-4042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: IN 01025728) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-10-01 |