Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 618 | NC |
N | 213ES0103X | Foot & Ankle Surgery | 618 | NC |
N | 213ES0131X | Foot Surgery | 618 | NC |
NPI | 1275823569 |
---|---|
Provider Name | Dr. Gary Yu-Jen Liao |
First Address | Durham, NC 27704-3048 |
Second Address | Durham, NC 27704-3048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2011 |
Last Update Date | 17/02/2021 |