Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 9706 | NH |
Y | 207X00000X | Orthopaedic Surgeon | 9706 | NH |
NPI | 1932129442 |
---|---|
Provider Name | Victor Parisien |
First Address | Naples, FL 34108 |
Second Address | Naples, FL 34108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 11/07/2007 |