Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 19135 | NV |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 19135 | NV |
NPI | 1073943239 |
---|---|
Provider Name | Nikola Babovic |
First Address | Reno, NV 89503-4723 |
Second Address | Reno, NV 89503-4723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2013 |
Last Update Date | 20/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1073943239 | (05) | NV |
14280521 | CAQH (01) |