Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | 45320 | TN |
Y | 2086X0206X | Surgical Oncologist | DR.0054993 | CO |
NPI | 1174763031 |
---|---|
Provider Name | Eric H Liu |
First Address | Greenwood Village, CO 80111 |
Second Address | Denver, CO 80218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2009 |
Last Update Date | 15/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
68171277 | (05) | CO |