Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 155732 | LA |
NPI | 1043779291 |
---|---|
Provider Name | Daniel Yoo |
First Address | New Orleans, LA 70112-2865 |
Second Address | New Orleans, LA 70112-2865 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2019 |
Last Update Date | 18/08/2021 |