| NPI | 1881182657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J IMBURGIA Board Member 502-742-0485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2021-10-25 |