Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 121762 | OH |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 277269 | NY |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 59589 | AZ |
NPI | 1104252998 |
---|---|
Provider Name | Li Zhang |
First Address | Phoenix, AZ 85016-7069 |
Second Address | Albany, NY 12208-3412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2013 |
Last Update Date | 30/04/2020 |