| NPI | 1932507605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN WHITE Manager 502-212-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 24139) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2015-02-12 |