Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 072263 | GA |
N | 111NI0900X | Internist | 072263 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | 67481 | WI |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 072263 | GA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 67481 | WI |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD60824224 | WA |
NPI | 1023220985 |
---|---|
Provider Name | Patrick Michael Aquilina |
First Address | Richland, WA 99352-3301 |
Second Address | Milwaukee, WI 53226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 01/03/2021 |