Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 42631 | KY |
N | 111NI0900X | Internist | 42631 | KY |
N | 207RC0000X | Internist - Cardiovascular Disease | 42631 | KY |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 42631 | KY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD36086 | AL |
NPI | 1023202306 |
---|---|
Provider Name | Dr. Gustavo Xavier Morales |
First Address | Birmingham, AL 35243-3408 |
Second Address | Birmingham, AL 35243-3408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2007 |
Last Update Date | 06/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100078270 | (05) | KY |