| NPI | 1679603070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW G. BUSTIN Owner 502-875-9885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 19944) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |