| NPI | 1538202288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN AARON VANARSDALL Sole Proprietor 502-581-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 18569) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |