Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | C1-0011883 | DE |
N | 208600000X | Surgeon | C1-0011883 | DE |
N | 2086S0129X | Vascular Surgeon | C1-0011883 | DE |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 57.020855 | OH |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | C1-0011883 | DE |
NPI | 1033461595 |
---|---|
Provider Name | Franjo Siric |
First Address | Newark, DE 19713-2200 |
Second Address | Newark, DE 19718-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2012 |
Last Update Date | 16/11/2016 |