| NPI | 1043638620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL M. GOLD CEO 270-384-4753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: KY 29482) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |