| NPI | 1952734451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMAR KHAN Physician 270-901-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: KY 44844) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 44844) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |