| NPI | 1447310420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYESH SHETH Owner Physician 502-541-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: KY 36086) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-09-25 |