Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 36336 | NC |
N | 208600000X | Surgeon | 36336 | NC |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 36336 | NC |
NPI | 1023171899 |
---|---|
Provider Name | Thomas D'amico |
First Address | Durham, NC 27704-2121 |
Second Address | Durham, NC 27710-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 04/12/2008 |