Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 4301077908 | MI |
NPI | 1083822753 |
---|---|
Provider Name | Yevgeniy Rits |
First Address | Detroit, MI 48201-2065 |
Second Address | Detroit, MI 48201-2065 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 27/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
258415000 | (05) | MN |