Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 117188 | NY |
NPI | 1114958998 |
---|---|
Provider Name | Dr. Eddie Lee Hoover |
First Address | Akron, NY 14001-9719 |
Second Address | Buffalo, NY 14215-1129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 08/07/2007 |