Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 2013039627 | MO |
NPI | 1114943644 |
---|---|
Provider Name | Dr. Raphael Chun-Sing Lui |
First Address | Saint Louis, MO 63141-7414 |
Second Address | Philadelphia, PA 19144-3348 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 17/03/2018 |