NPI | 1861757890 |
---|---|
Other Name | KIYOSHI YAMAZAKI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0056881) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: GA 66919) |
207QS0010X Family Medicine, Sports Medicine (Licence: CO DR.0056881) | |
Enumeration Date | 2012-07-05 |
Last Update Date | 2017-10-03 |