| NPI | 1417170424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABIL BASHA President And Sole Owner 606-789-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: KY 19712) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |