| NPI | 1730573452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQ ARAIN Consultant 859-792-1420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2024-09-19 |