Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2017016701 | MO |
Y | 111NI0900X | Internist | 2017016701 | MO |
NPI | 1003336165 |
---|---|
Provider Name | James Zou |
First Address | San Francisco, CA 94102-3200 |
Second Address | Saint Louis, MO 63110-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2017 |
Last Update Date | 27/05/2020 |