Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD.015779 | LA |
N | 207RC0000X | Internist - Cardiovascular Disease | 015779 | LA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD.015779 | LA |
NPI | 1477538726 |
---|---|
Provider Name | Clement C Eiswirth JR. |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70121-2429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 08/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04258806 | (05) | MS |
1309869 | (05) | LA |
B62731 | (02) |