Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 1330 | NE |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 1330 | NE |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | DO-05049 | IA |
NPI | 1003058173 |
---|---|
Provider Name | Matthew John Kapalis |
First Address | Omaha, NE 68124-2319 |
Second Address | Omaha, NE 68124-2319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2009 |
Last Update Date | 21/02/2018 |