Individual
AKIRA SHIOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
LT000706
PA
2086S0129X
Vascular Surgery Physician
Primary
MD448163
PA
Other
Enumeration date
03/15/2011
Last updated
04/16/2013
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