| NPI | 1518949528 |
|---|---|
| Former Name | ALEXANDER TKESHELASHVILI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 050647) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 050647) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2019-11-04 |