| NPI | 1811337439 |
|---|---|
| Former Name | DORIAN R MATTINGLY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 04927) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q9436) |
| 207R00000X Internal Medicine (Licence: KY 04927) | |
| 208M00000X Hospitalist (Licence: KY 04927) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2023-10-05 |