Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 39008 | SC |
N | 207RC0000X | Internist - Cardiovascular Disease | 39008 | SC |
N | 207RC0000X | Internist - Cardiovascular Disease | MD39241 | TN |
NPI | 1932296050 |
---|---|
Provider Name | Thomas Gerard Di Salvo |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 23/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E56822 | (02) |