| NPI | 1194923904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAZON A VEZA Md Owner 270-769-0167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KY 23167) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |