Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | MD471675 | PA |
NPI | 1730669425 |
---|---|
Provider Name | Dr. Christopher Mkl Yao |
First Address | Philadelphia, PA 19111-2497 |
Second Address | Philadelphia, PA 19111-2497 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2018 |
Last Update Date | 31/08/2020 |