Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301093464 | MI |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 4301093464 | MI |
NPI | 1609005511 |
---|---|
Provider Name | Dr. Jamil Asaria |
First Address | Ann Arbor, MI 48108 |
Second Address | Livonia, MI 48152-1054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2009 |
Last Update Date | 17/08/2009 |