Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 51094 | KY |
NPI | 1164840385 |
---|---|
Provider Name | Dr. Justin Wayne Gorski |
First Address | Lexington, KY 40536-0293 |
Second Address | Lexington, KY 40536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2014 |
Last Update Date | 09/09/2019 |