NPI | 1386904829 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY CHASE Officer/Director 859-312-3595 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Enumeration Date | 2012-05-17 |
Last Update Date | 2012-05-17 |