Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | R0952 | TX |
NPI | 1245434836 |
---|---|
Provider Name | Asif A. Sewani |
First Address | Galveston, TX 77555-5302 |
Second Address | Galveston, TX 77555 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 02/12/2019 |