Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | 00230186 | NY |
Y | 207RP1001X | Pulmonary Disease | ME146815 | FL |
NPI | 1043220254 |
---|---|
Provider Name | Dr. Vasilios Sierros |
First Address | Tampa, FL 33615-1714 |
Second Address | Tampa, FL 33615-1714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 22/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I 32502 | (02) | NY |