| NPI | 1568797488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA YASSINE Owner 502-727-7923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 42177) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2022-09-06 |