| NPI | 1619148707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON S LUO Provider/Owner 502-637-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 38650) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2016-09-01 |