| NPI | 1821334673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL CRUZ Owner 859-468-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01046661A) |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care (Licence: KY 37305) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2013-01-24 |