| NPI | 1356641757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBY G THECKEDATH CEO 859-539-6487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 38387) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-02 |