| NPI | 1508374570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAHEED AHMAD Owner 502-262-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01024158A) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-06-16 |