Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME83922 | FL |
NPI | 1003894601 |
---|---|
Provider Name | Dr. Wael Z Tamim |
First Address | Ft Lauderdale, FL 33335-0483 |
Second Address | Fort Lauderdale, FL 33316-2521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2006 |
Last Update Date | 02/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
264125900 | (05) | FL |
H56340 | (02) |