NPI | 1356954648 |
---|---|
Entity Type | Organization |
Authorized Contact | LOOKMAN LAWAL CEO/Physician 502-409-2892 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2020-08-26 |
Last Update Date | 2021-01-21 |