| NPI | 1497150205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MHD HAITHAM CHAKER Owner 502-633-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 35377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 35377) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2015-03-19 |