Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 38137 | MN |
NPI | 1356581599 |
---|---|
Provider Name | Dr. Christopher Shih Hong Chiu |
First Address | Kashi, XINJIANG 844000 |
Second Address | Kashi, XINJIANG 8440002134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2009 |
Last Update Date | 28/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F84092 | (02) | MN |