| NPI | 1154571172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOUSSAM MARDINI Owner / Chief Manager 859-684-6964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |