| NPI | 1184162133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER WEIGEL Director 859-905-3901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2023-01-14 |