BioMarin Pharmaceutical Inc.

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Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

Centers for Medicare & Medicaid Services, Open Payments

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

Figures reflect General Payments this manufacturer or GPO reported to CMS. Research and Ownership/Investment payments are separate datasets and are not included here.

CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state.

Page 10 of 25; records 451–500 of 1222 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

BioMarin Pharmaceutical Inc.

CMS reporting company ID 100000010405

General Payments, PY2021; Recipient scope: All recipient types; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 10 of 25; records 451–500 of 1222 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/company/100000010405?year=2021&recipient=all&page=10#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
BioMarin Pharmaceutical Inc., CMS reporting company ID 100000010405. General Payments, PY2021; Recipient scope: All recipient types; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 10 of 25; records 451–500 of 1222 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/company/100000010405?year=2021&recipient=all&page=10#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
APA 7
IndustryPayments. (2026). BioMarin Pharmaceutical Inc., CMS reporting company ID 100000010405. General Payments, PY2021; Recipient scope: All recipient types; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 10 of 25; records 451–500 of 1222 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/company/100000010405?year=2021&recipient=all&page=10#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
Bluebook
BioMarin Pharmaceutical Inc., CMS reporting company ID 100000010405, IndustryPayments, General Payments, PY2021; Recipient scope: All recipient types; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 10 of 25; records 451–500 of 1222 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202. https://industrypayments.org/company/100000010405?year=2021&recipient=all&page=10#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2021

Date, newest first, then reporting company; values as published by CMS.

General Payments · PY2021 · All recipient types · CMS publication 2026-06-30

1,222 matching records · $1,610,370.15 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 1,222 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 451–500 of 1,222.

Recipient Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
JHABLALL BALMAKUND
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $115.4409/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400419 CMS
JOLENE CAROL SCHMUCKER
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $115.4409/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400421 CMS
NICOLE C BRESCIA
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $115.4409/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400423 CMS
DORIS A TRAUNER
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $64.0909/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400433 CMS
LAUREN SHIN
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $64.1009/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400441 CMS
CHARLES GAY
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $64.0909/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400443 CMS
GYULA ACSADI
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $64.1009/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400445 CMS
MARCOS J VALDEZ
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $64.0909/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400447 CMS
ANTONIO VAZQUEZ-DIAZ
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $115.4509/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400449 CMS
RYAN P WILLIAMS
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $115.4509/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400451 CMS
SOOKYONG KOH
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $64.1009/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400453 CMS
CAROL C DELINE
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $64.0909/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400461 CMS
ANGELA K CRUTCHER
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $23.1309/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400465 CMS
ANDREA L GROPMAN
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $64.0909/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400475 CMS
SARAH A SWAGER
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $18.2909/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400477 CMS
TAMMUELLA E CHRISENTERY-SINGLETON
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $3,190.0009/29/2021 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400203 CMS
TAMMUELLA E CHRISENTERY-SINGLETON
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $380.0009/29/2021 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400205 CMS
HOPE NORTHRUP
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $1,800.0009/29/2021 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400285 CMS
ELISHEVA ELLENBERG
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $4.2209/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400463 CMS
ELISHEVA ELLENBERG
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $39.8909/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400467 CMS
KATHERINE J ANDERSON
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $38.0009/28/2021 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831399889 CMS
KATHERINE J ANDERSON
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $30.0009/28/2021 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831399891 CMS
KATHERINE J ANDERSON
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $65.0009/28/2021 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831399893 CMS
COLLEEN FORSYTH MACMURDO
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $65.0009/28/2021 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831399895 CMS
GENA R WILSON
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400167 CMS
BRITTANY M MURRAY
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400169 CMS
EMILY A GALLANT
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400171 CMS
JESSICA L WEBERDING
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400173 CMS
ANGELA K CRUTCHER
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400175 CMS
ELISHEVA ELLENBERG
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400177 CMS
WILLOW A SHEEHAN
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400179 CMS
ALLISON J MACK
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400181 CMS
JAMIE K MOTTA
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400183 CMS
WESLEY G PATTERSON
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400185 CMS
BRITTANY EILEEN HOYLE
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400187 CMS
GINA M LEWIS
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400189 CMS
STEPHANIE J OFFORD
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400191 CMS
SARAH J FEDDERSEN
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400193 CMS
HOLLY JEAN BERNAL
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400195 CMS
LINDA C SPENCER
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400197 CMS
ANN JOHANSSON
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $88.0609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400199 CMS
JOSEPH W RAY
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $750.0009/28/2021 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400283 CMS
ZEENA MOHAMMAD AL-RUFAIE
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $16.6209/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400483 CMS
INGRID A HOLM
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $65.0009/27/2021 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831399887 CMS
AMANDA D BAWCOM
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $26.7809/25/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400397 CMS
MAISSAA JANBAIN
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $475.0009/24/2021 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400207 CMS
OSMAN KHAN
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $472.0009/24/2021 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400209 CMS
BRADLEY S MILLER
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $1,000.0009/24/2021 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400215 CMS
ROBERT M BERNSTEIN
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $2,500.0009/24/2021 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400235 CMS
BARBARA K BURTON
Physician / non-physician practitioner
BioMarin Pharmaceutical Inc. $1,200.0009/24/2021 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 831400281 CMS

Practitioner overview · all loaded program years

4,885 providers listed 15,175 records General Payments

General Payments to practitioners — all loaded program years

  • Category: General Payments
  • Program years: 2019, 2020, 2021, 2022, 2023, 2024, 2025
  • Record count: 15,175
  • Providers listed: 4,885

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

Figures reflect General Payments this manufacturer or GPO reported to CMS. Research and Ownership/Investment payments are separate datasets and are not included here.

Coverage: program years 2019–2025, General Payments only, reported to physicians and non-physician practitioners. Payments to teaching hospitals are not included in these practitioner figures. Each figure is labeled with its category and program year; categories are never combined.

Practitioner payments by program year

Program yearReportedRecordsProvidersDetail
PY2019 $2,032,405.30 2,248 524 This company in PY2019 →
PY2020 $1,818,867.58 760 327 This company in PY2020 →
PY2021 $1,560,320.15 1,215 653 This company in PY2021 →
PY2022 $1,930,588.75 2,417 1,069 This company in PY2022 →
PY2023 $2,136,493.40 2,515 983 This company in PY2023 →
PY2024 $2,858,719.23 2,919 1,610 This company in PY2024 →
PY2025 $1,909,453.38 3,101 1,591 This company in PY2025 →

By recipient specialty (133)

Sorted by name; identical names by identifier.

Allopathic & Osteopathic Physicians 105 specialties 3,436 providers
Chiropractic Providers 1 specialty 3 providers
Dental Providers 2 specialties 3 providers
Eye and Vision Services Providers 1 specialty 2 providers
Nursing Service Providers 4 specialties 6 providers
Physician Assistants & Advanced Practice Nursing Providers 18 specialties 1,323 providers
Podiatric Medicine & Surgery Service Providers 2 specialties 4 providers

Providers listed (4,885)

Sorted by name; identical names by identifier.

ProviderSpecialtyStateRecords reported by this company
AAINA KOCHHAR Allopathic & Osteopathic Physicians|Medical Genetics|Clinical Genetics (M.D.) CO 1
AAKASH PATEL Allopathic & Osteopathic Physicians|Anesthesiology NJ 1
AAMIR AHMED Podiatric Medicine & Surgery Service Providers|Podiatrist TX 1
AARON A SEE Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Pediatric Orthopaedic Surgery UT 1
AARON G VAN NINGEN Allopathic & Osteopathic Physicians|Pediatrics ND 1
AARON JOSEPH HUSER Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Pediatric Orthopaedic Surgery FL 35
AARON M KING Allopathic & Osteopathic Physicians|Pediatrics IL 1
AARON R JACKSON Allopathic & Osteopathic Physicians|Orthopaedic Surgery PA 1
AARON S CHIDEKEL Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Pulmonology DE 1
AASHIMA BANSAL Allopathic & Osteopathic Physicians|Pediatrics AZ 1
ABBEY JO BENTLEY Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics UT 2
ABBEY L MILLER Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant NY 1
ABBY E HANSEN Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant NE 1
ABBY JO LOCH Allopathic & Osteopathic Physicians|Pediatrics KS 1
ABDALLAH F ELIAS Allopathic & Osteopathic Physicians|Medical Genetics|Clinical Genetics (M.D.) MT 4
ABDELRAHIM YAMIN ABDEL Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology with Special Qualifications in Child Neurology GA 1
ABDUL HALEEM IBRAHIM KAZMI Allopathic & Osteopathic Physicians|Internal Medicine MI 1
ABDUL HUSSEIN MAZIN Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology IL 1
ABDULRAZAK ALALI Allopathic & Osteopathic Physicians|Medical Genetics|Clinical Genetics (M.D.) WV 3
ABDULWAHAB ALDOUSANY Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Cardiology FL 1
ABHA DEWAN Allopathic & Osteopathic Physicians|Pediatrics NJ 1
ABHISHEK WATTS Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Gastroenterology OK 1
ABIGAIL FELIX Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics NY 2
ABIGAIL HALL Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Medical NY 1
ABIGAIL L MANTICA Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Pediatric Orthopaedic Surgery NY 2
ABIGAIL M MCNEELY Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics PA 1
ABIGAIL REBECCA LEE Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics FL 1
ABIGAIL TAYLOR STEWART Allopathic & Osteopathic Physicians|Pediatrics OH 1
ABIMBOLA O IYANOYE Allopathic & Osteopathic Physicians|Pediatrics NJ 1
ACACIA D PACKER Allopathic & Osteopathic Physicians|Pediatrics AZ 1
ACACIA LEIGH BURROWS Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant|Medical MI 1
ADA M MONTALVO Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant TX 1
ADAM D DEVRIES Allopathic & Osteopathic Physicians|Pediatrics NE 1
ADAM E WHITMAN Allopathic & Osteopathic Physicians|Pediatrics CA 1
ADAM GIERMASZ Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology CA 38
ADAM HARARI Allopathic & Osteopathic Physicians|Anesthesiology NY 1
ADAM LERCHE Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Emergency Medicine NY 1
ADAM S KOTOWSKI Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology NY 2
ADAM VE LOCK Allopathic & Osteopathic Physicians|Pediatrics NY 2
ADANETTE WISCOVITCH Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Endocrinology PR 1
ADEL OLSHANSKY Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology CA 1
ADELENE SOTO Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics FL 1
ADIANET PEREZ Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Pediatrics FL 1
ADIL BAIG Allopathic & Osteopathic Physicians|Pediatrics OH 1
ADITI KHOKHAR Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Endocrinology NJ 1
ADITI MANMOHAN TRIVEDI Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology with Special Qualifications in Child Neurology CA 1
ADITI YADAV Allopathic & Osteopathic Physicians|Medical Genetics|Clinical Genetics (M.D.) OH 1
ADNAN AHMED AL-DAIS Allopathic & Osteopathic Physicians|Pediatrics MI 1
ADOLFO ETCHEGARAY Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Maternal & Fetal Medicine OH 6
ADRIAN C BANKS Allopathic & Osteopathic Physicians|Family Medicine KY 1