| NPI | 1922262179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO DOS REMEDIOS Owner 270-933-7823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 40940) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3010022) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2020-06-23 |