Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | H9766 | TX |
N | 208600000X | Surgeon | H9766 | TX |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | H9766 | TX |
NPI | 1043296676 |
---|---|
Provider Name | Peter P Baay |
First Address | Santa Barbara, CA 93105-4351 |
Second Address | Santa Barbara, CA 93105-4351 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2005 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
037692303 | (05) | TX |
270282YM5U | (02) | TX |