Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 01072188A | IN |
Y | 2086S0105X | Surgery of the Hand | 46023 | KY |
NPI | 1922310317 |
---|---|
Provider Name | Elkin J Galvis Leon |
First Address | Louisville, KY 40201-7441 |
Second Address | Louisville, KY 40202-1882 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2010 |
Last Update Date | 28/09/2016 |