Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 4301054586 | MI |
NPI | 1649251265 |
---|---|
Provider Name | Dr. Ricardo Z Vinuya |
First Address | Bingham Farms, MI 48025-2456 |
Second Address | Bingham Farms, MI 48025-2456 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 14/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G02934 | (02) |