| NPI | 1972937183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED JOUJA Owner 502-619-1109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RI0200X Internal Medicine, Infectious Disease | |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |