| NPI | 1770623878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD G WOOD Owner 502-895-8218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2012-04-18 |