Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 10250 | SC |
NPI | 1043514839 |
---|---|
Provider Name | Dr. Guido James Cerilli |
First Address | Hilton Head, SC 29926-2050 |
Second Address | Hilton Head, SC 29926-2050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2011 |
Last Update Date | 07/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
RENAL12 | NONE DONT BILL (01) | SC |