Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD-44438 | IA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD-44438 | IA |
NPI | 1730493222 |
---|---|
Provider Name | Alexandros Briasoulis |
First Address | Iowa City, IA 52242 |
Second Address | Iowa City, IA 52242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2010 |
Last Update Date | 24/09/2018 |