Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 11314 | NV |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 11314 | NV |
NPI | 1255387205 |
---|---|
Provider Name | Dr. Joseph Yu |
First Address | Las Vegas, NV 89144-6646 |
Second Address | Las Vegas, NV 89144-6646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 27/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100509657 | (05) | NV |
114555 | (02) | NV |