| NPI | 1992987507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINAT WINTERMEYER MIROWSKI Physician 317-359-5357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01020481A) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2008-02-27 |