| NPI | 1902260060 |
|---|---|
| Other Name | BEAU JAMES EBBEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 67976-20) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: CO DR.0066037) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2022-08-22 |