Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | C146473 | CA |
N | 208200000X | Surgeon | ME107953 | FL |
N | 208600000X | Surgeon | ME107953 | FL |
NPI | 1376641258 |
---|---|
Provider Name | Junichiro Sageshima |
First Address | Sacramento, CA 95817-1418 |
Second Address | Sacramento, CA 95817-1418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 10/06/2020 |