Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 01043633 | IN |
Y | 208600000X | Surgeon | 01043633 | IN |
NPI | 1013050772 |
---|---|
Provider Name | Dr. Tom Nicholas Galouzis |
First Address | Hobart, IN 46342-6665 |
Second Address | Hobart, IN 46342-6665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 09/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200059420A | (05) | IN |
G08470 | (02) | IN |