| NPI | 1972040764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY JOAN-YING LO President 317-773-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01074737A) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |