| NPI | 1033270434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEMR EID Owner Of Practice 502-852-3772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: KY 25574) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |