| NPI | 1548400450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATEEK GUPTA Office Manager 502-447-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 25368) |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 2084N0400X Psychiatry & Neurology Neurology | |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2016-08-22 |