Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD.207895 | LA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD448382 | PA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD.207895 | LA |
NPI | 1205084076 |
---|---|
Provider Name | Wenjie Xu |
First Address | Baton Rouge, LA 70816-6038 |
Second Address | Baton Rouge, LA 70808-4370 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2008 |
Last Update Date | 21/05/2021 |