| NPI | 1487972915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANILO B CORALES Owner 859-276-0714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: KY 32109) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |