Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | A111888 | CA |
N | 207RP1001X | Pulmonary Disease | A111888 | CA |
NPI | 1073718722 |
---|---|
Provider Name | Dr. Ming-Tyh Maa |
First Address | New York, NY 10036-6454 |
Second Address | Walnut Creek, CA 94598-2883 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2007 |
Last Update Date | 27/02/2019 |