Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 23342 | FL |
N | 111NI0900X | Internist | 23342 | FL |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 11275371-1205 | UT |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | E-13652 | AR |
NPI | 1144664491 |
---|---|
Provider Name | Dr. Thomas Edward Kasprowicz |
First Address | Little Rock, AR 72211-4393 |
Second Address | Little Rock, AR 72205-6377 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2013 |
Last Update Date | 09/10/2020 |