Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101247338 | VA |
N | 208600000X | Surgeon | 0101247338 | VA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 036131649 | IL |
NPI | 1033411699 |
---|---|
Provider Name | Cristian Sorin Sarateanu |
First Address | Indianapolis, IN 46206-1105 |
Second Address | Carbondale, IL 62901-1414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2010 |
Last Update Date | 07/11/2012 |