Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 60067814 | WA |
NPI | 1235184656 |
---|---|
Provider Name | Alex W Cantafio |
First Address | Nashville, TN 37244-0265 |
Second Address | Knoxville, TN 37920-2244 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 25/10/2011 |