Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 46226 | KY |
NPI | 1073833950 |
---|---|
Provider Name | Dr. Chen Rubinstein |
First Address | Bowling Green, KY 42102-7697 |
Second Address | Bowling Green, KY 42101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2010 |
Last Update Date | 25/07/2017 |