Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 42811 | KY |
Y | 2080P0214X | Pediatric Pulmonologist | 42811 | KY |
NPI | 1144285255 |
---|---|
Provider Name | Zoran R. Danov |
First Address | Lexington, KY 40536-0284 |
Second Address | Lexington, KY 40536-0284 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 17/04/2012 |