| NPI | 1295969913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFRED M VICTORINA Owner 859-496-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD432714) |
| Enumeration Date | 2009-05-09 |
| Last Update Date | 2015-06-26 |