Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 62050 | MN |
NPI | 1629377130 |
---|---|
Provider Name | Dr. Joseph S Khouri |
First Address | Cleveland, OH 44106-1716 |
Second Address | Beachwood, OH 44122-8400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2011 |
Last Update Date | 12/01/2021 |