| NPI | 1821358201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI BACHA Managing Member 859-317-8714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2020-11-09 |