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Individual
SHO TANAKA
Active
Individual
SHO TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A171692
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
A171692
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/25/2014
Last updated
11/21/2024
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