| NPI | 1558564484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J CASALE Chairman 502-629-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KY 40773) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 40773) |
| 208800000X Urology (Licence: KY 40773) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |