| NPI | 1124125497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH C BANIS Physician/Owner 502-589-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-05-07 |