| NPI | 1336318765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONACHAI BANCHONGMANIE Owner 502-375-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KY 17611) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-06-12 |