Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1300X | Electrophysiology, Clinical | 003233 | KY |
N | 2251E1300X | Electrophysiology, Clinical | 05007955A | IN |
NPI | 1427019199 |
---|---|
Provider Name | William Eisner |
First Address | Louisville, KY 40216-2986 |
Second Address | Louisville, KY 40216-2986 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 01/07/2011 |