Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 2010-00830 | NC |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 32540 | AL |
NPI | 1013154962 |
---|---|
Provider Name | Dr. Benjamin Wei |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233-2110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2009 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2010-00830 | STATE MEDICAL BOARD (01) | NC |
245064 | NY STATE LICENSE (01) | NY |