| NPI | 1346533536 |
|---|---|
| Former Name | ALEKSANDRE KAKAURIDZE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 280568) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 280568) |
| 207R00000X Internal Medicine (Licence: NY 280568) | |
| 208M00000X Hospitalist (Licence: NY 280568) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2023-03-27 |