| NPI | 1770813164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOK KANTHAWAR CEO 606-877-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: KY 37920) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2012-03-16 |