| NPI | 1003134537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P VON UNRUG Owner 859-276-0714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: KY 31364) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2021-10-13 |