| NPI | 1669984209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK TOLIS SIMON Md/Owner 502-386-4710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: KY 34409) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2018-07-10 |