Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | A110218 | CA |
NPI | 1043534803 |
---|---|
Provider Name | Dr. Phyu Phyu Lim |
First Address | Fremont, CA 94539-5209 |
Second Address | Fremont, CA 94539-5209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2010 |
Last Update Date | 29/09/2011 |