Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD429586 | PA |
NPI | 1023199452 |
---|---|
Provider Name | Tadahiro Uemura |
First Address | Monroeville, PA 15146-3555 |
Second Address | Monroeville, PA 15146-3555 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 06/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101748761 | (05) | PA |