| NPI | 1043716624 |
|---|---|
| Other Name | BUCKY RIBBECK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T1533) |
| Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine (Licence: TX 407) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-08-18 |