| NPI | 1497943930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDI VAEZY Owner 606-528-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 25857) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-11-01 |