Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 237810 | NY |
NPI | 1013175173 |
---|---|
Provider Name | Joe Lau |
First Address | New York, NY 10029-6908 |
Second Address | New York, NY 10029-6908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 27/05/2008 |