Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 50442 | WI |
N | 111NI0900X | Internist | 50442 | WI |
N | 207RC0000X | Internist - Cardiovascular Disease | 50442 | WI |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 50442 | WI |
NPI | 1134187412 |
---|---|
Provider Name | James Oujiri |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 05/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1134187412 | (05) | WI |