| NPI | 1902036825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD BABAR Member 502-544-8293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2024-05-17 |