| NPI | 1619162880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISHA ROY VARGHESE Owner 502-245-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 37290) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2012-02-07 |