| NPI | 1477545937 |
|---|---|
| Former Name | KEN R RICHARDS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036-114696) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101233117) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2012-12-13 |