| NPI | 1952330599 |
|---|---|
| Other Name | PA |
| Entity Type | Organization |
| Authorized Contact | JOSEPH BENJAMIN BROUDY President 859-420-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-06-26 |