Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 10983 | NH |
NPI | 1053303313 |
---|---|
Provider Name | Dr. Uri Michael Ahn |
First Address | Bedford, NH 03110-6912 |
Second Address | Bedford, NH 03110-6912 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 14/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30200937 | (05) | NH |
G90553 | (02) | NH |