| NPI | 1821783259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CARTER Billing Manager 859-737-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |