Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MT190910 | PA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A126807 | CA |
NPI | 1043418759 |
---|---|
Provider Name | Oke Adrian Anakwenze |
First Address | San Diego, CA 92111-3770 |
Second Address | San Diego, CA 92111-3770 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 29/03/2018 |