Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 040045 | GA |
NPI | 1144230509 |
---|---|
Provider Name | David B. Delurgio |
First Address | Atlanta, GA 30308-2208 |
Second Address | Atlanta, GA 30308-2208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 05/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G23152 | (02) | GA |