| NPI | 1184820003 |
|---|---|
| Former Name | CHARLES SETH EISENBERG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101267882) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01066642A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2021-07-08 |