| NPI | 1073619128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALDON JUNDI Owner 859-221-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 29168) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2021-04-19 |