Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35.123597 | OH |
N | 207X00000X | Orthopaedic Surgeon | A161890 | CA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 35.123597 | OH |
NPI | 1316260540 |
---|---|
Provider Name | Robert Chulkyu Ryu |
First Address | Upper Arlington, OH 43220-2246 |
Second Address | Columbus, OH 43220-2246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2010 |
Last Update Date | 16/07/2020 |