| NPI | 1093998171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M DOUGLAS GOSSMAN Physician/Owner 502-495-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 21642) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |