| NPI | 1245238492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAROJ B. DUBAL President 859-271-3114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2014-10-02 |