Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD029178E | PA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD029178E | PA |
NPI | 1023018892 |
---|---|
Provider Name | Christopher Adrien Bonnet |
First Address | Pittsburgh, PA 15212-4756 |
Second Address | Pittsburgh, PA 15212-4756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 17/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0009690300002 | (05) | PA |
1841559000 | (05) | WV |
2230973 | (05) | OH |
C29439 | (02) | PA |