Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 18218 | KY |
NPI | 1013996321 |
---|---|
Provider Name | Dr. Ralph Ilian Touma |
First Address | Ashland, KY 41105-1588 |
Second Address | Ashland, KY 41101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0284268 | WELFARE (01) | OH |
1808970000 | WELFARE (01) | WV |
64182181 | (05) | KY |
C69723 | (02) |