| NPI | 1871031112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITIN MAHAJAN Administrator 859-539-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2024-02-13 |