| NPI | 1336542067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE DILLON Assistant Secretary 502-596-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2022-08-16 |