Nels Davis Carroll Valid NPI

Individual provider · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Thousand Oaks, CA

NPI

1396122099

Type

Individual (Type 1)

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Thoracic Surgery (Cardiothoracic Vascular Surgery))

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208G00000X

License number

A192800 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2015-05-01

Last updated

2024-02-22