Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 6149 | NV |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 26439 | WI |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 6149 | NV |
NPI | 1043267024 |
---|---|
Provider Name | Dr. David L Navratil |
First Address | Las Vegas, NV 89193-8978 |
Second Address | Las Vegas, NV 89128-0488 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 14/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043267024 | (05) | NV |
E71296 | (02) | NV |