Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 34594 | IA |
N | 111NI0900X | Internist | 34594 | IA |
N | 207R00000X | Internist | 49216 | WI |
N | 111NI0900X | Internist | 49216 | WI |
N | 207RC0000X | Internist - Cardiovascular Disease | 49216 | WI |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 49216 | WI |
NPI | 1285608984 |
---|---|
Provider Name | Mr. Li Zhou |
First Address | Appleton, WI 54912-8003 |
Second Address | Appleton, WI 54911-3454 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 28/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
34868000 | (05) | WI |
H97284 | (02) |