| NPI | 1730378365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSAM YOUSEF Owner/President 270-869-8376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY KY31265) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2011-07-19 |