| NPI | 1437568219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIRO ALFREDO FORTICH Owner/Physician 865-212-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 45681) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |