| NPI | 1962691923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK TOLIS SIMON Physician 502-267-0556 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: KY 34409) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2008-01-15 |