101Y00000X
Indianapolis, IN
Specialty
101Y00000X
Credential
ATR-BC, LMHC
NPI
1497090583
Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 101y00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 101Y00000X