Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 6269 | AL |
NPI | 1134393507 |
---|---|
Provider Name | Dr. Peter Shu Kuen Yu |
First Address | Huntsville, AL 35801-3706 |
Second Address | Huntsville, AL 35801-3706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2008 |
Last Update Date | 16/04/2008 |