| NPI | 1356669071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GROVER MARK TUSSEY Managing Member 502-226-5360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |