Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 61964 | WI |
NPI | 1083933170 |
---|---|
Provider Name | Bilal Omery |
First Address | Milwaukee, WI 53215-4330 |
Second Address | Milwaukee, WI 53215-4330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2010 |
Last Update Date | 22/07/2020 |