PAUL H GONG

LOUISVILLE, KY
NPI1487180964
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: KY  59299)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-05-03
Last Update Date2024-07-02
Business Address
PAUL H GONG MD
3999 DUTCHMANS LN STE 5D
LOUISVILLE, KY 40207-4744
Phone number: 502-899-6782
Mailing Address
PAUL H GONG MD
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490