NPI | 1811324494 |
---|---|
Entity Type | Organization |
Authorized Contact | RODNEY V. CHOU Owner 502-583-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: IN 01045575) |
Additional Taxonomies | 174400000X Specialist (Licence: IN 01047580) |
174400000X Specialist (Licence: IN 28184126A) | |
Enumeration Date | 2013-09-27 |
Last Update Date | 2017-02-23 |