Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 23624 | NE |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 23624 | NE |
NPI | 1023031341 |
---|---|
Provider Name | Dr. Nicholas Kristian Gove |
First Address | Lincoln, NE 68510-4120 |
Second Address | Lincoln, NE 68510-4120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 25/01/2020 |