| NPI | 1093920480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JITENDRA A PATHAK President 270-726-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 19221) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 19220) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |