Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME131619 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | ME131619 | FL |
NPI | 1770870453 |
---|---|
Provider Name | Rohan Goswami |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Jacksonville, FL 32224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2011 |
Last Update Date | 31/08/2020 |