NPI | 1922158294 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK J DOUGHERTY President 859-277-4005 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
Additional Taxonomies | 363A00000X Physician Assistant |
363LC0200X Nurse Practitioner, Critical Care Medicine | |
Enumeration Date | 2007-01-11 |
Last Update Date | 2013-06-07 |