Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 7859 | NE |
NPI | 1235680653 |
---|---|
Provider Name | Abu-Bekr Mohamed |
First Address | Omaha, NE 68198-3285 |
Second Address | Omaha, NE 68198-3285 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2016 |
Last Update Date | 20/10/2016 |