Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | MH032577 | MI |
NPI | 1043372972 |
---|---|
Provider Name | Dr. Nasir Ul Haque |
First Address | Waterford, MI 48328 |
Second Address | Waterford, MI 48328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2006 |
Last Update Date | 20/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P51359 | (02) |