Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD-44776 | IA |
N | 111NI0900X | Internist | MD-44776 | IA |
N | 207RC0000X | Internist - Cardiovascular Disease | 253410 | NY |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD-44776 | IA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 253410 | NY |
NPI | 1033313481 |
---|---|
Provider Name | Kan Liu |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03124650 | (05) | NY |