NPI | 1427390756 |
---|---|
Former Name | YI ZHAO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 270135) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125069877) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2021-01-05 |