Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 8281722-1205 | UT |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 8281722-1205 | UT |
NPI | 1083761951 |
---|---|
Provider Name | Aaron Eckhauser |
First Address | Holladay, UT 84117-5423 |
Second Address | Salt Lake City, UT 84113-1103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 03/12/2021 |