NPI | 1316324288 |
---|---|
Other Name | ZACKARY JON TUSHAK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: VA 0102206118) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-04-29 |
Last Update Date | 2024-10-15 |