Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 5348 | AL |
NPI | 1073766309 |
---|---|
Provider Name | Hurley W Knott |
First Address | Birmingham, AL 35213-1923 |
Second Address | Birmingham, AL 35213-1923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2008 |
Last Update Date | 30/10/2008 |