| NPI | 1235459553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL G BURIDI Physician/President 502-238-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |