| NPI | 1790891125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A. GARCIA President/Md 502-426-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2014-06-19 |